| Lexington Medical Group Corp | |
|
2276 Barnwell Ln Lexington KY 40513-1245 | |
| (606) 422-1456 | |
| Not Available |
| Full Name | Lexington Medical Group Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2276 Barnwell Ln, Lexington, Kentucky |
| Authorized Official Name and Position | Ghassan Shakhashiro (OWNER) |
| Authorized Official Contact | 6064221456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Medical Group Corp 2276 Barnwell Ln Lexington KY 40513-1245 Ph: (606) 422-1456 | Lexington Medical Group Corp 2276 Barnwell Ln Lexington KY 40513-1245 Ph: (606) 422-1456 |
| NPI Number | 1245728054 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 04/26/2018 |
| Medicare PECOS PAC ID | 9537417233 |
|---|---|
| Medicare Enrollment ID | O20180810002079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245728054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ghassan Shakhashiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871567396 PECOS PAC ID: 9931251402 Enrollment ID: I20090714000411 |
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